Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $467.74 / $891.25	Facility		$173.78	$467.74	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $478.63	Professional		$169.82	$208.93	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $288.40 / $371.54	Facility		$134.90	$288.40	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $107.15 / $323.59	Professional		$104.71	$107.15	$323.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $338.84 / $354.81	Professional		$316.23	$338.84	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $512.86 / $794.33	Facility		$263.03	$512.86	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $251.19 / $794.33	Professional		$131.83	$251.19	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $2,041.74	Professional		$234.42	$288.40	$2,041.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $234.42 / $263.03	Facility		$173.78	$234.42	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $123.03 / $338.84	Professional		$75.86	$123.03	$338.84